- FEMALE FERTILITY
- MALE FERTILITY
- IMPROVE FERTILITY
- WHAT TO EXPECT ON FIRST VISIT
- PREGNANCY AND PLANNING
Not many people openly discuss the difficulties falling pregnant, and there is certainly a lack of awareness about female fertility in Australia. Most people have no idea how common fertility challenges are for women or how daunting it can be to overcome these obstacles.
The latest statistics show that:
- 90% of women under 40 will have a baby if they have fertility treatment
- 80% women over 40 will have a baby if they have fertility treatment
Unlike other clinics, age is not a barrier at Fertility First. We have helped women up to 48 years of age have babies using their own eggs.
Use our calculator to determine the fertile time for different cycle lengths (14-19 days before next period). A woman normally ovulates 14 days before her next period is due. Her most fertile time is the day of ovulation and the two days prior to ovulation. Sperm are at their best for up to 3 days after ejaculation, hence why intercourse doesn’t need to be on the actual day of ovulation for a good chance of pregnancy to occur.
Unfortunately, a number of studies have now shown that a child’s gender cannot be influenced by the number of days before ovulation that intercourse occurs.
Source: Wilcox et al 1995 – Zarutskie et al 1989 – Carsua et al 1988
Using donated sperm may be the best chance of achieving pregnancy for some couples. Each year about 4% of all children born in Australia are the result of Artificial Reproductive Technology, including Donor Insemination.
Through our individualised approach, we assess any lifestyle or environmental factors that may be affecting your infertility, and work with you to modify these if necessary. Factors such as Vitamin D, folate and iodine deficiency, insulin levels, weight, alcohol and smoking can all impact on the health of the sperm as well as the egg and therefore the chance of conceiving. They can also impact on the chance of staying pregnant and normal development of the baby. Hence the importance of assessing and correcting as a first step in any fertility treatment.
- Improving your diet, eating less saturated fat and more fibre
- Limiting intake of alcohol and caffeinated beverages
- Quitting smoking
- Avoiding recreational drug use
- Checking with your fertility specialist that any medications you are taking will not adversely affect fertility
- Avoiding tight fitting underwear
- Avoiding regular use of hot tubs, saunas and electric blankets
- Avoiding environmental chemicals such as lead, pesticides and organic solvents, or wear appropriate protective clothing.
We try to avoid waiting times at Fertility First, as we believe it is important that you receive treatment when it is most appropriate for the two of you.
The timing of a visitation is determined by the two of you, within the constraints of the menstrual cycle and your work commitments..
As infertility involves both members of a couple, it is ideal if both of you can come to the first appointment.
What to expect on your first visit
The first consultation is always more thorough when both of you attend. To fit with your busy schedules, we offer a range of appointment day and times so you can find one that suits best.
Understanding Medicare rebates
To be eligible for Medicare rebates from your first visit, you need a current referral to Fertility First. GP referrals are valid for 12 months, and specialist referrals are valid for 3 months.
Helping you get the best out of your first visit
We believe it is important to investigate factors relating to your fertility problems as quickly as possible. To help minimize time of additional testing, we ask that not only both of you come to the first appointment, but we also have your history, examinations and blood tests completed. This will ensure the assessment process is as efficient as possible.
When will I get my test results?
We aim to have your test results back within 2 to 3 weeks, which means, unless any assessment of the fallopian tubes is required, treatment options can then be considered.
If a semen analysis is required, it may be possible on the first appointment. There is a dedicated room set aside for this purpose. In order for us to conduct the analysis, you will need to make an appointment with the laboratory in advance so we have the right laboratory staff available to carry out the test. We prefer to combine the semen analysis with an assessment of sperm DNA damage, using the specialized TUNEL assay, as it is not possible to gain an accurate picture of a man’s fertility potential without this assay.
The semen sample can be collected at home, provided it can be brought in to the Fertility First laboratory within 45-60 minutes of collection.
Fallopian tube assessment
If the woman’s fallopian tubes have not yet been assessed, we typically arrange that after the second visit, so another menstrual cycle may pass before all investigations are complete. The reason for waiting is that we believe that it is important to carry out all non-invasive investigations first.
For example, if there was a significant reduction in semen quality that meant in vitro fertilisation (IVF) was required, then an assessment of the fallopian tubes would not normally be necessary. Normal, open tubes are not required for IVF.
At Fertility First we aim to minimize the invasiveness of the testing process and only carry out those investigations that are required to maximise your chance of a successful outcome.
How are Fallopian tubes assessed?
Unless IVF is being considered it is important to know if the fallopian tubes are open (patent) to decide what the best treatment options are.
Tubal assessment can be done via an ultrasound study called a hysterosalpingo-contrast-sonography (Hy-Co-Sy) or via an operation, called a laparoscopy, using “keyhole” surgical techniques.
Need more information? We are here to help
We have information sheets on these procedures and the advantages and disadvantages of each one will be discussed with you. The surgery can be done by the medical staff at Fertility First, or your referring gynaecologist.
Don’t be one of those couples who spend years trying to fall pregnant before they seek help. If you’re planning to start a family – see us first, at Fertility First.
PREGNANCY AND PLANNING
The cause of infertility will determine which treatment program you embark on. The type of program will affect your chances of pregnancy, as do a number of other factors including age and, if IVF occurs, the quality and number of the embryos replaced.
On average our pregnancy rates range from 15-50% per treatment cycle, depending on the type of treatment, unless a woman is above the age of 38 years, in which case they are lower.
This pregnancy rate may not seem as high as expected, but it is important to remember that humans are not particularly fertile as a species. If a couple with healthy fertility has intercourse at the time of ovulation, they still only have a 15-20% chance of having a pregnancy each monthly cycle.
We include a regular review process in our treatment programs, so that if a treatment cycle is not successful, we assess the need to modify your next treatment cycle to improve your chances of success. If a pregnancy has not occurred, your specialist will review that treatment cycle to see if any changes need to be made and have a consultation with you to discuss future options if appropriate.